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1. What is your gender? (Required.)

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2. How old are you? (Required.)

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3. How long have you been married?
 (Required.)

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4. Would you say you are a Christian/Follower of Jesus? (Required.)

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5. Are you keeping secrets from your spouse about your sex life prior to marrying them? Check all that apply. (Required.)

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6. Are you keeping secrets from your spouse about your sex life since marrying them? Check all that apply. (Required.)

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7. Optional Comments

T